亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Is there inter-observer variation in the interpretation of SSEPs in comatose cardiac arrest survivors? Further considerations following the Italian multicenter ProNeCa study

卡帕 医学 科恩卡帕 等级间信度 体感诱发电位 心肺复苏术 内科学 听力学 麻醉 心脏病学 复苏 统计 数学 语言学 评定量表 哲学
作者
Maria Grazia Celani,Riccardo Carrai,Teresa Anna Cantisani,Maenia Scarpino,Maria Vittoria Ercolani,Francesco Lolli,Giovanni Lanzo,Paolo Costa,Paola Lanteri,A Bignamini,A. Amantini,Antonello Grippo,A. Amantini,Daniela Audenino,C Bandinelli,Pasquale Bernardo,Teresa Anna Cantisani,Riccardo Carrai,Maria Grazia Celani,Roberta Ciuffini,Sara Contardi,Leonardo Davì,Antonello Grippo,Giovanni Lanzo,Francesco Lolli,M. Lombardi,Alfonso Marrelli,Andrea Marudi,Oriano Mecarelli,Chiara Minardi,Fabio Minicucci,Marco Moretti,Giuseppe Olivo,Adriano Peris,Lucia Politini,Klaudio Rikani,Rossella Sabadini,Claudio Sandroni,Maenia Scarpino,Maddalena Spalletti,Franco Valzania,Eugenio Vitelli,Angelo Zilioli
出处
期刊:Resuscitation [Elsevier]
卷期号:155: 207-210 被引量:5
标识
DOI:10.1016/j.resuscitation.2020.07.029
摘要

Background Bilateral absence of N20 peak in median nerve Somatosensory Evoked Potentials (SSEPs) is considered the most valid predictor of poor outcome in comatose survivors after cardiopulmonary resuscitation. We investigated the consistency in interpreting SSEP recordings in a multicentre study. Methods 44 SSEP recordings randomly extracted from 600 recordings of 392 patients included in the "Prognostication of Neurological outcome after Cardiac Arrest (ProNeCa) study" were blindly read by three expert neurophysiologists. Agreement between raters, and individual agreement of each rater vs. reference standard (RS), were calculated using Kappa Coefficients. Inter-rater reliability was calculated with Intra-class Correlation Coefficient (ICC). Results When raters had to evaluate the presence of N20 with normal amplitude, the inter-rater agreement was very high (Kappa = 0.84). In the case of N20 absence the agreement was good (Kappa = 0.66), but when N20 amplitude was low, the agreement decreased to moderate (Kappa = 0.579) becoming even weaker when it was "Non Assessable" (Kappa = 0.107). The agreement of each rater with the RS had a range from moderate to very good; rater1 Kappa = 0.589 (95%CI 0.397–0.781; p < 0.001), rater2 Kappa = 0.644 (95%CI 0.460–0.828; p < 0.001), rater3 Kappa = 0.859 (95%CI 0.698–1.000; p < 0.001). The ICC was barely good, 0.682 (95%CI 0.539−0.798; p = 0.0075). Conclusion Different health professionals, using different equipment in a multicentre study, had very good inter-rater agreement in interpreting SSEP records. The interpretation of "Non Assessable" SEPPs, mainly in relation to noise level, is still a crucial issue because it increases rater uncertainty. For this reason, it is important to focus on improving recording quality and interpretation of records.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
yu发布了新的文献求助10
7秒前
通莲完成签到,获得积分10
9秒前
汉堡包应助jyy采纳,获得10
10秒前
18秒前
细心的如天完成签到 ,获得积分10
23秒前
48秒前
辛勤的媚颜完成签到 ,获得积分10
51秒前
是啊余啊发布了新的文献求助10
55秒前
是啊余啊完成签到,获得积分20
1分钟前
pokemeow完成签到,获得积分10
1分钟前
搜集达人应助科研通管家采纳,获得10
1分钟前
Jasper应助科研通管家采纳,获得10
1分钟前
pokemeow发布了新的文献求助10
1分钟前
YY完成签到,获得积分0
1分钟前
别找了睡觉吧完成签到 ,获得积分10
1分钟前
汉堡包应助hhhhhhhm采纳,获得10
2分钟前
薄荷小新完成签到 ,获得积分10
2分钟前
情怀应助甜心心采纳,获得10
2分钟前
闪闪的从彤完成签到 ,获得积分10
2分钟前
雨天爱吃冰淇淋完成签到 ,获得积分10
2分钟前
在水一方应助壮壮采纳,获得10
2分钟前
大个应助无糖零脂采纳,获得10
3分钟前
3分钟前
壮壮发布了新的文献求助10
3分钟前
未青易完成签到 ,获得积分10
3分钟前
3分钟前
明理丹烟应助科研通管家采纳,获得10
3分钟前
科研通AI2S应助科研通管家采纳,获得10
3分钟前
NexusExplorer应助科研通管家采纳,获得10
3分钟前
科研通AI2S应助科研通管家采纳,获得10
3分钟前
明理丹烟应助科研通管家采纳,获得10
3分钟前
英姑应助科研通管家采纳,获得10
3分钟前
汉堡包应助科研通管家采纳,获得10
3分钟前
科研通AI2S应助qqq采纳,获得10
3分钟前
小马日常挨打完成签到 ,获得积分10
4分钟前
苏航完成签到,获得积分20
4分钟前
qqq完成签到,获得积分10
4分钟前
4分钟前
qqq发布了新的文献求助10
4分钟前
钰姝完成签到,获得积分20
4分钟前
高分求助中
中国国际图书贸易总公司40周年纪念文集 大事记1949-1987 2000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
草地生态学 880
Threaded Harmony: A Sustainable Approach to Fashion 799
Basic Modern Theory of Linear Complex Analytic 𝑞-Difference Equations 510
中国有机(类)肥料 500
Queer Politics in Times of New Authoritarianisms: Popular Culture in South Asia 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3059518
求助须知:如何正确求助?哪些是违规求助? 2715495
关于积分的说明 7445189
捐赠科研通 2361002
什么是DOI,文献DOI怎么找? 1251087
科研通“疑难数据库(出版商)”最低求助积分说明 607698
版权声明 596448